音乐疗法对卒中后认知功能障碍的疗效研究——Meta分析

周珊珊; 汤继芹; 杨媛媛; 冯露叶

文章摘要

周珊珊，汤继芹，杨媛媛，冯露叶.音乐疗法对卒中后认知功能障碍的疗效研究——Meta分析[J].神经损伤功能重建,2024,(9):505-510

音乐疗法对卒中后认知功能障碍的疗效研究——Meta分析

Effect of Music Therapy on Cognitive Impairment after Stroke: A Meta-Analysis

DOI：

中文关键词: 音乐疗法脑卒中认知功能障碍 Meta分析

英文关键词: music therapy stroke cognitive dysfunction meta-analysis

基金项目:2020 年教育部产学研协同育人项目（言语治疗学课程创新创业教育研究——以《言语康复产品开发为例》， No. 202002137071）

作者	单位
周珊珊，汤继芹，杨媛媛，冯露叶	山东中医药大学康复医学院

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中文摘要:

目的：评价音乐疗法对卒中后认知功能障碍的干预效果。方法：检索中英文电子数据库中有关音乐疗法对卒中后认知功能障碍患者的干预效果的随机对照试验研究，利用Revman5.4软件进行Meta分析。结果：共纳入15篇文献，涉及1 229例患者。Meta分析结果显示，MoCA（2019年前发表组）合并效应量结果 MD=2.91，95%CI 2.57～3.25，P＜0.00001、MoCA[2019年后（含2019年）发表组]合并效应量结果MD=4.62， 95%CI 4.23～5.02，P＜0.00001、MMSE[MD=4.49，95%CI 为（0.81～8.18），P＜0.00001]；Stroop 色词测验 [MD=5.17，95% CI 2.99～7.35，P＜0.00001]、HAMA[MD=－ 4.55，95% CI － 5.16～－ 3.93，P＜0.00001]、 HAMD[MD=－6.02，95%CI －6.84～－5.20），P＜0.00001]。结论：音乐疗法能改善卒中后认知功能障碍及情绪。

英文摘要:

To evaluate the effect of music therapy on cognitive dysfunction after stroke. Methods: Randomized controlled trials studying the effects of music therapy for poststroke cognitive dysfunction were retrieved from Chinese and English electronic databases, and meta-analysis was performed using RevMan 5.4 statistical software. Results: A total of 15 articles with 1 229 patients were included. The meta-analysis results revealed that for the Montreal Cognitive Assessment (MoCA), the pooled effect size was MD=2.91, 95% CI (2.57, 3.25), P<0.00001 for studies published before 2019, and MD= 4.62, 95% CI (4.23, 5.02), P< 0.00001 for those published in or after 2019. Significant improvements were also found in the pooled Mini-Mental State Examination (MMSE) [MD= 4.49, 95% CI (0.81, 8.18), P<0.00001], Stroop Color and Word Test [MD=5.17, 95%CI (2.99, 7.35), P<0.00001], Hamilton Anxiety Scale (HAMA) [MD=－4.55, 95% CI (－5.16, －3.93), P< 0.00001], and Hamilton Depression Scale (HAMD) [MD=－ 6.02, 95% CI (－ 6.84, － 5.20), P<0.00001]. Conclusion: Music therapy can significantly improve cognitive dysfunction and emotional state in stroke survivors.

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